Individual
J'LA S SOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12650 N BEACH ST STE 114-44, FORT WORTH, TX 76244-4256
(817) 690-4182
Mailing address
12650 N BEACH ST STE 114-44, FORT WORTH, TX 76244-4256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1032008
TX
164W00000X
Licensed Practical Nurse
Primary
LPN.157997.MEDS-IV
OH
Other
Enumeration date
04/11/2018
Last updated
04/25/2026
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